Skip to main content

Hermeneutics of Modern Death: Science, Philosophy and the Brain Death Controversy in Orthodox Judaism

  • Chapter
  • First Online:
Religion in Motion
  • 173 Accesses

Abstract

Brain death criteria is acknowledged by 80 countries worldwide as the death of a human being. Such acknowledgement has not gone without critical perspectives being voiced. Philosopher Hans Jonas (1903–1993), for example, who criticizes the brain death criteria as the modern version of the old mind-body dualism, names it today’s brain-body dualism.

He argues in favor of a more holistic perspective on the human dying process, thus resembling in his opposition modern Jewish Ultra-Orthodox’ strict reservations against brain death.

Contrary to the Western philosophic way of argumentation, Orthodox Jews and their religious authorities looked into the matter following other interests: In Orthodox Judaism, the question whether brain death is per definitionem halachic death (death according to religious law) created a controversy in its own right.

This article intends to discuss two main arguments: First, the Orthodox brain death controversy shows in a nutshell how production and governance of knowledge, secular (also medical) and religious knowledge alike, depends on processes of legitimization within a specific interpretive community. The issues of brain death and organ donation, generally rejected by the Ultra-Orthodox but accepted by their “modern” co-religionists, show that trust in the medical determination of death as well as trust in the uncertainty of the dying process are both legitimate options within the same religious normative framework. Thus, the acceptance or rejection of the brain death concept in different Jewish religious cultures may have (among other factors) to be considered together with the question of “knowledge sovereignty” when it comes to death and dying. Second, the question of which knowledge generating system should best be trusted is indirectly mirrored by Jonas’ idea of a new mind-body dualism that alludes to a general dichotomy between (medical) science and religion.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    The term “halachic realities” is borrowed from the title of an anthology published by Lev Farber “Halakhic Realities—Collected Essays on Brain Death”. The term points at the existence of multiple religio-legal (halachic) ways of living—and, in our case, dying. Following Berger/Luckmann’s work (The Social Construction of Reality, 1966), “reality” is presumed to be socially constructed. Seemingly, any construction of legalistic frameworks that serve further institutionalization of (religious) structures, even if this process increases the authoritative claim on objective reality, are socially constructed. Different halachic realities are thus the result of the interplay between stabilization, institutionalization processes and interpretation.

  2. 2.

    Ad Hoc Committee of the Harvard Medical School (1968), pp. 85–88.

  3. 3.

    Sarbey (2016), pp. 743–752.

  4. 4.

    Ad Hoc Committee of the Harvard Medical School (1968), p. 85.

  5. 5.

    Jonas (1987), pp. 219–241. Unfortunately, this highly impressive book has not yet been translated into English.

  6. 6.

    Jonas (1987), p. 234.

  7. 7.

    Jonas (1987), p. 243.

  8. 8.

    Mehta (2011).

  9. 9.

    Stoecker (2010).

  10. 10.

    Blutinger (2007), pp. 310–328.

  11. 11.

    Further see Don-Yehiya (2005), pp. 157–187.

  12. 12.

    Reconstructionist, Reform and Conservative Judaism are often subsumed under the umbrella term Progressive Judaism. Their members have in common not to organize their lives according to halachic rules (except the Conservatives to a certain degree).

  13. 13.

    According to a survey conducted by the Pew Research Center Survey of U.S. Jews, 10% of the Jewish population in the United States are Orthodox with roughly two thirds self-identifying as Haredi and one third as Modern Orthodox. See http://assets.pewresearch.org/wp-content/uploads/sites/11/2015/08/Orthodox-Jews-08-24-PDF-for-web.pdf. Accessed 21 October 2017.

  14. 14.

    See Babylonian Talmud (bT), Eruvin 13b.

  15. 15.

    This conclusion, even though nothing new for Orthodox thinkers, is necessary in order to clearly state that the framework for Orthodox authorities is the traditional religio-legal one. This framework as a whole (Halacha) is understood to be “ethical”. From a Western (or philosophical) perspective and language, questions about the beginning and end of life are presumed to be questions of “ethics”. Halacha is thus better compared with secular state law, i.e. a legal system, that in turn is pre-informed by other carriers of meaning like Christian ethics or the like.

  16. 16.

    See Bick (1993), p. 28. His article is a discursive response to another article published two years earlier in the same journal. The authors, both Orthodox rabbis, state their methodological approaches in the context of another medical halachic subject, the determination of halachic maternity. For that matter see also Bleich (1991), pp. 82–102 and Bleich (1994), pp. 52–57.

  17. 17.

    Roth (1986).

  18. 18.

    Gordis (1989), p. 29.

  19. 19.

    Bick (1993), p. 32.

  20. 20.

    Gordis (1989), p. 30.

  21. 21.

    The translation of the passages goes according to Bin Nun (2015), pp. 117–151 and Reifman (2012), pp. 9–12.

  22. 22.

    Those codices were structured differently from the Talmud and produced with the intention of facilitating a faster retrieval of halachic information in everyday legal decision-making.

  23. 23.

    bT Shabbat, Chap. 2. pp. 18–19.

  24. 24.

    bT Orach Chaim, p. 329.

  25. 25.

    Reifman (2012), p. 14.

  26. 26.

    Abraham (2006), p. 219.

  27. 27.

    Reifman (2015), p. 217.

  28. 28.

    See the study of the Vaad Halacha of the Rabbinical Council of America on Halachic Issues in the Determination of Death and in Organ Transplantation. http://www.rabbis.org/pdfs/Halachi_%20Issues_the_Determination.pdf. Accessed 26 October 2017.

  29. 29.

    Reifman (2012), p. 12.

  30. 30.

    Kuhn (2012).

  31. 31.

    Abraham (2003), p. 308. See further the positions of different religious leaders on brain death and organ transplantation on pp. 307–317.

  32. 32.

    Fish (1980), p. 306.

  33. 33.

    The following interview was conducted during field work for my dissertation project on Jewish bioethics. One set of questions dealt extensively with the issue of brain death and the policy of the respective hospital.

  34. 34.

    D. Blaufarb is a pseudonym.

  35. 35.

    The hospital management agreed to the interview under the condition that its name won’t be disclosed.

  36. 36.

    This is an integral part of a not yet well researched concept that sociologist Chaim Waxman named “the sociology of psak”. See Waxman (1991).

  37. 37.

    Soloveitchik (1986), p. 3.

  38. 38.

    Cunningham and Andrews (1997), p. 6.

References

  • Abraham, S. Abraham. 2003. Nishmat Avraham: Medical halachah for doctors, nurses, health-care personnel and patients. Vol. 2. New York: Mesorah Publications.

    Google Scholar 

  • ———. 2006. Medical halachah for doctors, nurses, health-care personnel and patients. Vol. 1. 2nd ed. New York: Mesorah Publications.

    Google Scholar 

  • Ad Hoc Committee of the Harvard Medical School. 1968. A definition of irreversible coma. Report of the Ad Hoc Committee of the Harvard Medical School to examine the definition of brain death. JAMA 205 (6): 85–88.

    Google Scholar 

  • Bick, Ezra. 1993. Ovum donations: A rabbinic conceptual model of maternity. Tradition 28 (1): 28–45.

    Google Scholar 

  • Bin Nun, J. 2015. Jewish law and medical science. In Halakhic realities. Collected essays on brain death, ed. Zev Farber, 117–151. Jerusalem: Maggid Books.

    Google Scholar 

  • Bleich, David J. 1991. Survey of recent halakhic periodical literature. Vitro fertilization: Questions of maternal identity and conversion. Tradition 25: 4.

    Google Scholar 

  • ———. 1994. Survey of recent halakhic periodical literature. Maternal identity revisited. Tradition 28 (2): 52–57.

    Google Scholar 

  • Blutinger, Jeffrey C. 2007. ‘So-called orthodoxy’: The history of an unwanted label. Modern Judaism 27 (3): 310–328.

    Article  Google Scholar 

  • Cunningham, Andrew, and Bridie Andrews. 1997. Introduction. In Western medicine as contested knowledge, ed. Andrew Cunningham and Bridie Andrews, 1–23. Manchester: Manchester University Press.

    Google Scholar 

  • Don-Yehiya, Eliezer. 2005. Orthodox Jewry in Israel and in North American diaspora. Israel Studies 10 (1): 157–187.

    Article  Google Scholar 

  • Fish, Stanley. 1980. Is there a text in this class? The authority of interpretive communities. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Gordis, Daniel H. 1989. Wanted: The ethical in Jewish bioethics. Judaism 38 (1): 28–40.

    Google Scholar 

  • Jonas, Hans. 1987. Technik, Medizin und Ethik. Praxis des Prinzips Verantwortung. Frankfurt: Suhrkamp.

    Google Scholar 

  • Kuhn, Thomas S. 2012. The structure of scientific revolutions. 4th ed. Chicago/London: The University of Chicago Press.

    Book  Google Scholar 

  • Reifman, Daniel. 2012. Ancient sources, modern problems: A methodological analysis of rashi’s position on brainstem death. Tradition 45 (4): 9–21.

    Google Scholar 

  • ———. 2015. Rabbi moshe feinstein on brainstem death: A reassessment. In Halakhic realities. Collected essays on brain death, ed. Zev Farber, 117–151. Jerusalem: Maggid Books.

    Google Scholar 

  • Roth, Joel. 1986. The halakhic process. A systemic analysis. New York: The Jewish Theological Seminary of America.

    Google Scholar 

  • Sarbey, Ben. 2016. Definitions of death: Brain death and what matters in a person. Journal of Law and the Biosciences 3 (3): 743–752.

    Article  Google Scholar 

  • Soloveitchik, Joseph B. 1986. The halakhic mind. An essay on Jewish tradition and modern thought. New York/London: Seth Press.

    Google Scholar 

  • Stoecker, Ralf. 2010. Der Hirntod. Ein medizinethisches Problem und seine moralphilosophische Transformation. 2nd ed. Freiburg/München: Verlag Karl Alber.

    Google Scholar 

  • Waxman, Chaim I. 1991. Towards a sociology of psak. Tradition 25 (3): 12–25.

    Google Scholar 

Internet Sources

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sarah Werren .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Werren, S. (2020). Hermeneutics of Modern Death: Science, Philosophy and the Brain Death Controversy in Orthodox Judaism. In: Hensold, J., Kynes, J., Öhlmann, P., Rau, V., Schinagl, R., Taleb, A. (eds) Religion in Motion. Springer, Cham. https://doi.org/10.1007/978-3-030-41388-0_5

Download citation

Publish with us

Policies and ethics